Individual
MISS TERESA ANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. F.A.
Contact information
Practice address
10768 CHESTNUT ST, LOS ALAMITOS, CA 90720
(562) 594-8492
Mailing address
10768 CHESTNUT ST, LOS ALAMITOS, CA 90720
(562) 594-8492
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN 467251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 467251
LICENSE
CA
Enumeration date
05/04/2007
Last updated
07/08/2007
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